MR. RASHESH SHAH MD
NPI 1376999367
Internal Medicine - Interventional Cardiology in Somerset, NJ

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment
75 VERONICA AVE, SOMERSET, NJ 08873(732) 247-7444 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2024, Jan 4, 2022, Dec 23, 2021 and 1 more (4 updates tracked since 2016).

About Mr. Rashesh Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RASHESH SHAH MD (NPI 1376999367) is an individual interventional cardiology provider in Somerset, New Jersey, licensed in New Jersey (25MA10592000) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376999367
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMR. RASHESH SHAHCredential: MD
Location Address75 VERONICA AVESomerset, NJ 08873-5002
Mailing Address1 Jeffrey WayPiscataway, NJ 08854-5235 · (732) 439-6097
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 9, 2016
Last NPPES UpdateApril 9, 20244 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
NPI 1376999367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NJ · 25MA10592000
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10592000 (NJ)
75 VERONICA AVE, Somerset, NJ 08873

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Rashesh Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254622475
PECOS Enrollment IDI20240213004105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
723 services260 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
299 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
191 services168 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services35 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
87 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services50 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
75 VERONICA AVE, SUITE 202
SOMERSET, NJ 08873
Internal Medicine (Hematology & Oncology)
75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Internal Medicine (Cardiovascular Disease)
75 VERONICA AVE, STE 101
SOMERSET, NJ 08873
Dietitian, Registered
75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873
Nurse Practitioner (Family)
75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Internal Medicine
75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873
Psychiatry & Neurology (Psychiatry)
75 VERONICA AVE
SOMERSET, NJ 08873
Dietitian, Registered
75 VERONICA AVE
SOMERSET, NJ 08873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rashesh Shah's NPI number?

The NPI number for Rashesh Shah is 1376999367. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Rashesh Shah located?

Rashesh Shah practices at 75 Veronica Ave, Somerset, NJ 08873. The listed phone number is (732) 247-7444.

What is Rashesh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rashesh Shah enrolled in Medicare?

Yes. Rashesh Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rashesh Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rashesh Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rashesh Shah affiliated with any hospitals?

According to CMS data, Rashesh Shah is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Rashesh Shah was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.